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PRE-BID CLARIFICATIONS / AMENDMENTS IN RESPONSE TO THE QUERIES RAISED BY PROSPECTIVE BIDDERS IN THE PRE-BID MEETING HELD ON DT.06.03.2019 AT 11.00 A.M. AND SUBSEQUENTLY TECHNICAL COMMITTEE MEETING ON DT.16.04.2019 & Dt.29.04.2019 AT 11.00 A.M. IN THE CONFERENCE HALL, OSMCL FOR TENDER FOR SUPPLY & INSTALLATION OF SURGICAL, ONCOSURGICAL & ANESTHESIA EQUIPMENTS AT AHRCC-CUTTACK & GREEN LIGHT LASER AT SCBMCH-CUTTACK (Bid Ref. No. : OSMCL/2018-19/AHRCC-SURGERYEQUIPMENT/17)

Brief note on the Tender:

Date & Time of release of bid -25.02.2019, 3 PM.

Date & time of Pre-bid meeting - 06.03.2019, 11 AM.

Date & time of Online bid submission Start Date - 13.03.2019, 3 PM.

Date & time of Online bid submission End Date - 14.05.2019, 5 PM.

The tender was published in:

1. The Times of India

2. The Hindu

3. The Dharitri

4. The Sambad

5. OSMCL Website

Total No. of prospective bidders/ representatives present in the pre-bid meeting are: 35 (Thirty Five) and 30

Nos. of query was received through mail/letter.

The queries raised by the prospective bidders on the above mentioned tender reference were thread barely

discussed on Dt.16.04.2019 & Dt.29.04.2019 and the following recommendations were made:

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Sl.

No. Queries raised by the

prospective bidders Original Technical Specifications

Clarifications

/Amendments

1. SURGICAL DIATHERMY UNIT WITH VESSEL SEALING SYSTEM

1

The Model should be USFDA or CE certified.

Section-VII (Pg. No-57) 1. The model should be USFDA and CE certified.

Amended The model should be USFDA or European CE approved product. CE must be issued by the notified agency. Accessories should be from same manufacturer.

The model should be USFDA OR EUROPEAN CE certified

2

The unit should have a large LCD/LED display having

segment to show the various setting like mode, watt etc.

Section-VII (Pg. No-57) 2. The unit should have a large LCD/LED

display having segment to show the various settings like mode, current, watt etc.

No Change

3

It should have a possibility to give names (procedures/surgeons name) to the individual programs (should be optional).

Section-VII (Pg. No-57) 4. It should have a memory for various types of surgery and with preference of various surgeons

Amended The availability of feature of memory for various types of surgery with preference of various surgeons is not mandatory.

4 It should have a possibility to give names (procedures / surgeons name) to the individual programs (should be optional).

Section-VII (Pg. No-57) 5. It should have a possibility to give names (procedures/surgeons name) to the individual programs.

Amended The availability of feature to give names (procedure/surgeons name) to the individual programs is not mandatory.

5 Should have reusable or disposable laparoscopic Vessel Sealing Instrument with or without integrated Blade having more ergonomic shape for Surgeon – straight and curve type.

Section-VII (Pg. No-57) 8. Should have reusable or disposable laparoscopic Vessel Sealing Instrument with integrated Blade having more ergonomic shape for surgeon – straight and curved type.

No Change

6 Bipolar coagulation should be Auto Start and Auto Stop

Section-VII (Pg. No-57) 11. The Monopolar coagulation should be with Auto-Start and Auto-Stop.

Amended The Bipolar coagulation should be with Auto-Start and Auto-Stop.

The BIPOLAR coagulation should be with Auto-Start and Auto-Stop

7 Vessel Sealing clamp with Integrated cutting blade for open surgery – 5 nos. reusable with cable /20 nos. of Disposable. Different Seal and cut length of jaw like small, medium and large jaw

Section-VII (Pg. No-57) The following accessories should be supplied with the unit: d) Vessel sealing Clamps For Open Surgery – 5nos. Reusable with cable/ 20 nos. Of disposables

Amended Vessel Sealing clamps for open surgery – 5 nos. reusable with cable /25 nos. of disposable.

Vessel sealing Clamps For Open Surgery – 5nos. Reusable with cable/ 250 nos. Of disposables

8 Vessel Sealing clamp with integrated cutting blade for laparoscopic surgery

(Fenestrated and Maryland Equal Proportion) – 6 nos. reusable / 24 nos. disposable. (Ratio should be 1:4)

Section-VII (Pg. No-57)) The following accessories should be supplied with the unit:

e) Vessel sealing Clamps with integrated cutting blade For laparoscopic surgery (Fenestrated & Maryland equal proportion) – 6nos. Reusable /36 nos. Of disposables

Amended Vessel sealing Clamps with integrated cutting blade

For laparoscopic surgery (Fenestrated / Maryland) – 6 nos. reusable /60 nos. Of disposables

Vessel Sealing clamp with integrated cutting blade for laparoscopic surgery (Straight and Maryland Equal Proportion) – 6 nos. reusable / 90 nos. disposable of the same manufacturer.

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Vessel Sealing clamp with/without integrated cutting blade for laparoscopic surgery (Fenestrated and Maryland Equal Proportion) – 6 nos. reusable / 300 nos. of disposables

9 Non Sticky/Coated bipolar forceps for open surgery – 10 nos.

Section-VII (Pg. No-57) The following accessories should be supplied with the unit: f) Non sticky Bipolar Forceps for Open Surgery- 10 Nos.

Amended Bayonet Bipolar Forceps (Non sticky/ Coated) for Open Surgery- 10 Nos., 1mm blunt tip, Size in between 19-21 mm & 22-23 mm, 5 no’s of each of the same manufacturer. Laparoscopic bipolar coagulation Fenestrated instrument - 5 nos.

Non sticky Bayonet Bipolar Forceps for Open Surgery—10 nos., 1mm blunt tip, Size in between 19-21 mm & 22-23 mm, 5 no’s of each of the same manufacturer.

2.ULTRASONIC DEVICE CUM BIPOLAR VESSEL SEALING SYSTEM

1 System has an universal single generator to connect Ultrasonic energy

Section-VII (Pg. No-58) 2. System should have an universal single generator to connect Ultrasonic energy and advanced Radio frequency (RF) energy instruments to reduce the clumsiness inside the theatre and increase the ergonomics.

NO CHANGE

2 System delivers pure ultrasonic energy

Section-VII (Pg. No-58) 3. Ultrasonic and bipolar energy in the system must work separately. Should deliver pure ultrasonic energy and RF energy separately.

NO CHANGE

3 Ultrasonic energy should be capable of sealing 5 mm blood vessel.

Section-VII (Pg. No-58)) 5. RF and Ultrasonic energy should be capable of sealing 7 mm blood vessel

NO CHANGE

4 System should have the ability for software updates Communication Port

Section-VII (Pg. No-58) 7. System should have the ability for software updates via USB memory stick.

Amended System should have the ability for software updates. System should have the ability

for software updates

5 System should have a double pedal footswitch for operating ultrasonic energy and changing power levels.

Section-VII (Pg. No-58) 9. System should have a single footswitch for operating ultrasonic energy or advanced RF energy instruments to reduce confusion as well as space during surgery

Amended System should have a single/double footswitch for operating ultrasonic energy or advanced RF energy instruments.

6 System should have the ability to select hand switch or foot switch activation for Ultrasonic and the ability to change selection during use

Section-VII (Pg. No-58) 10. System should have the ability to select hand switch or foot switch activation or both for Ultrasonic and advanced RF energy instruments and the ability to change selection during use

NO CHANGE

7 As this is an ultrasonic energy system only, there is no RF energy.

Section-VII (Pg. No-58) 15. System should be equipped with advanced RF energy technology that provides temperature controlled energy delivery.

NO CHANGE

8 As this is an ultrasonic energy system only, there is no RF energy. Besides, there are no RF energy instruments requested in this tender.

Section-VII (Pg. No-58) 16. System should have Advanced RF Energy hand instruments that provide tissue / vessel seal strength to withstand bursting pressure of 3 times the systolic pressure.

NO CHANGE

9 1 each for combination of Ultrasonic and Advanced Bipolar

Section-VII(Pg. No-58) System should comprise of the following Hardware: Generator – 1 No. Footswitch - 1 No.

NO CHANGE

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10 One transducer for both the Lap and Open Surgery with no Locking Mechanism. Another Same Transducer can be provided for Back Up Support or Separate Transducer For Getting Separate Ultrasonic Energy

Section-VII(Pg. No-58) System should comprise of the following Accessories: Transducer with cable for open surgery – 5

Nos. Transducer with cable for laparoscopic

surgery– 5 Nos. Hand Probe for open surgery– 25 Nos. Hand Probe for laparoscopic surgery- 25

Nos. Generator Cart – 1 No. Adaptors for ultrasonic device – 5 Nos.

Amended System should comprise of the following Accessories: Transducer with cable for

open/ laparoscopic surgery – 5 Nos. each

Ultrasonic Hand Probe for open surgery– 25 Nos.

Ultrasonic Hand Probe for laparoscopic surgery- 25 Nos.

Generator Cart – 1 No. Adaptors for ultrasonic

device – 5 Nos. (Optional)

Laproscopic probe having articulating Vessel sealer with divider -25 Nos.

Open Vessel sealing probe with Divider-25 Nos.

System should comprise of the following Accessories: Transducer with cable for

open surgery – 5 Nos. Transducer with cable for

laparoscopic surgery– 5 Nos. Hand Probe for ultrasonic

open surgery– 25 Nos. Hand Probe for vessel sealer

open surgery– 25 Nos. Hand Probe for vessel sealer

laparoscopic surgery- 25 Nos. Generator Cart – 1 No. Adaptors for ultrasonic device

– 2 Nos.

System should comprise of the following Accessories: Transducer with cable for

open surgery – 5 Nos. Transducer with cable for

laparoscopic surgery– 5 Nos. Hand Probe for open surgery–

25 Nos.

Hand Probe for laparoscopic surgery- 25 Nos.

Generator Cart – 1 No. No Adaptors (As this is an

Ultrasonic energy system )

3. VESSEL SEALING SYSTEM

1 Instruments should have option of hand /foot control with sealing/ dissection in both laparoscopic and open handsets.

Section-VII (Pg. No-59)) 9. Instruments should have option of hand and foot control with sealing & dissection in both 10mm & 5mm laparoscopic and open handsets.

Amended Instruments should have option of hand /foot control with sealing & dissection in laparoscopic 5 mm and open handsets.

2 All instruments should have facility for both 5mm / 10 mm and should with/ without blade for cutting as advantage.

Section-VII (Pg. No-59)) 16. All laparoscopic instruments should have facility for both 5mm and 10mm and should have a blade for instant cutting.

Amended All laparoscopic instruments should have facility for 5 mm and should have a blade for instant cutting.

3 The instrument should be supplied along with following accessories: 5mm

Reusable/Disposable hand/foot activating sealer/ divider hand instrument with / without blade for LAP surgery – 1 nos. reusable/50 nos. disposables.

Disposable/Reusable Hand Instrument (Sealer/Divider) for any open surgery jaw length 3-5 cm- 1 nos. reusable/50 nos. disposables.

Disposable/Reusable Hand Instrument (Sealer/Divider) for any open surgery jaw length 5-8 cm- 1 nos. reusable/50 nos. disposables.

Section-VII (Pg. No-59)) 17. The instrument should be supplied along with following accessories: Universal active adaptor for LAP and

underwater cutting surgery 5mm hand/foot activating sealer with

divider hand instrument for LAP surgery – 15 nos. disposables

Disposable Hand instrument (sealer/divider) for any open surgery having Jaw length of 3cm – 15 nos.

Disposable Hand instrument (sealer/divider) for any open surgery having Jaw length of 5cm – 15 nos.

Amended The instrument should be supplied along with following accessories: 5 mm hand/foot

activating sealer with divider hand instrument for LAP surgery – 20 nos. disposables

Disposable Hand instrument (sealer & divider) for any open surgery having Jaw length of 3 cm – 15 nos.

Disposable Hand instrument (sealer & divider) for any open surgery having Jaw

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The instrument should be supplied along with following accessories: Disposable Hand instrument

with sealer and divider for any open surgery having Jaw length of 3cm – 15 nos.

Disposable Hand instrument with sealer and divider for any open surgery having Jaw length of 5cm – 15 nos.

length of 5 cm – 15 nos.

4. CAVITRON ULTRASONIC SURGICAL ASPIRATOR

1 This is a BRAND NAME & it should be omitted. ―ULTRASONIC SURGICAL ASPIRATOR‖ is the correct one.

CAVITRON Amended The item shall be read as ―Ultrasonic Surgical Aspirator‖.

2 The system should be compact provided with built – in integrated suction facility with Vacuum Pressure of 20-90 Kpa or 65-70 Kpa of Suction pressure in continuous low noise and digital display.

Section-VII (Pg. No-60) 3. The system should be compact provided with built-in integrated suction facility with Vacuum Pressure of -20 to- 90 Kpa in continuous low noise and digital display

Amended The system should be compact provided with built–in integrated suction facility with Vacuum Pressure of -20 to -90 Kpa or 65-70 Kpa of Suction pressure in continuous low noise and digital display. (If Required)

3 The hand piece must be compact and based on Magneto- restrictive OR Piezoelectric technology with 23 KHZ to 35 KHZ frequency and from 1.14mm to 1.98mm for 36 KHZ/

23KHZ frequency with DTR technology and 100-120W of energy.

Section-VII (Pg. No-60) 5. The hand piece must be compact and based on Magneto-restrictive technology with 23 KHZ, 35KHZ & from 1.14 mm to 1.98mm for 36KHZ frequency and 120W of energy.

Amended The hand piece must be compact and based on Magneto – restrictive technology or Piezoelectric technology with frequency

23 KHz –25 KHz, 34 KHz -35 KHz and tips with Inner Diameter 1.14 mm to 2.26 mm and 100-120W of energy.

The hand piece must be compact and based on Magneto – restrictive technology or Piezoelectric technology with 23 KHZ–25 KHZ, 34 KHZ-35 KHZ & tips with Inner Diameter 1.37 mm to 2.26 mm. As tender requirement is already there for both hand pieces including 35 KHZ, hence 36 KHZ hand piece is not appropriate.

4 The system must have a feature of ―Tissue Select / DTR Technology‖ to differentiate tissue barriers with a tactile feedback in the hand piece.

Section-VII(Pg. No-60) 6. The system must have a feature of ―Tissue Select‖ to differentiate tissue barriers with a tactile feedback in the hand piece.

Amended The availability of feature of ―Tissue Select‖ to differentiate tissue barriers with a tactile feedback in the hand piece is not mandatory.

This can be omitted as all Ultrasonic Surgical Aspirator have this inbuilt feature, but it is

not always displayed.

5 The system should have tissue release function (automatic shutting off of suction for 2 to 5 seconds after deactivation of the vibration footswitch to prevent against delicate tissue trauma.

Section-VII (Pg.No-60) 7. The system should have Tissue release function (automatic shutting off of suction for 2 seconds after deactivation of the vibration footswitch to prevent against delicate tissue trauma.

Amended The system should have Tissue release function (automatic shutting off of suction for 2 to 5 seconds after deactivation of the vibration footswitch to prevent against delicate tissue trauma.

6 The hand piece tips should be form 1.57 mm dia up to 2.64 mm dia for 23 KHZ & from 1.14mm to 1.98mm for 36KHZ / 23KHZ frequency with DTR technology. The tips should be autoclave able and re-usable

Section-VII (Pg.No-60) 8. The hand piece tips should be form 1.57mm dia up to 2.64 mm dia for 23 KHZ & from 1.14 mm to 1.98mm for 36KHZ. The tips should be autoclave able and re-useable.

Amended The hand piece tips should be within range of 1.57 mm dia to 2.64 mm dia for 23 KHz –25 KHz & within range of 1.14 mm to 1.98 mm for 34 KHz -35 KHz.

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The hand piece tips should be form 1.57mm dia up to 2.64mm dia for 23 KHZ & from 1.35 mm to 1.40mm for 34KHZ-35 KHZ. The tips should be autoclave able and re-useable or 10 Nos. of Titanium Tips should be provided for required sizes.

The tips should be autoclaveable and re-useable or 10 Nos. of Titanium Tips should be provided for required sizes.

7 The hand piece should have helical bone cutting / sculpting tip with 180 degree cutting or Single Side serrations/ abrasive surface to enable greater control and precise work near critical structures

Section-VII (Pg.No-60) 9. The hand piece should have helical bone cutting / sculpting tip with 180 degree cutting / abrasive surface to enable greater control and precise work near critical structures.

Amended The hand piece should have helical bone cutting / sculpting tip with 180 degree cutting or Single Side serrations/ abrasive surface to enable greater control and precise work near critical structures.

8 For extended hours during surgeries (i.e., for more than 4-8 hours) the hand piece should have a built –in water cooling system to avoid over heating of the hand piece, if required.

Section-VII (Pg.No-60) 10. For extended hours during surgeries (i.e., for more than 4 – 8 hours) the hand piece should have a built- in water cooling system to avoid over heating of the hand piece.

Amended For extended hours during surgeries (i.e., for more than 4-8 hours) the hand piece should have a built –in water cooling system to avoid over heating of the hand piece, if required.

For extended hours during surgeries (i.e., for more than 4 – 8 hours) the hand piece should have a built-in water cooling system (Magneto-restrictive technology) to avoid over heating of the hand piece.

9 The hand piece should have a laparoscopic tip about 20-30 cm in length.

Section-VII (Pg. No-60) 11. The hand piece should have a laparoscopic tip about 30 cm in length and with reusable extended life and autoclavable.

NO CHANGE

10 The control panel should have adjustable viewing angle / fixed panel viewing for better visibility in the Operation Theater.

Section-VII (Pg. No-60) 12. The control panel should have adjustable viewing angel for better visibility in the Operation Theater.

Amended The control panel should have adjustable viewing angle / fixed panel viewing for better visibility in the Operation theater.

11 Irrigation rate of the system should be in the range of 1.5 cc/min to 25 cc/min

Section-VII (Pg. No-60) 14. Irrigation rate of the system should be in the range of 1.5 cc/min to 50 cc/min.

Amended Irrigation rate of the system should be up to 25 ml/min or more. Irrigation rate of the system

should be in the range of 3ml – 40ml.

12 Accessories: a) Macro hand piece, short angled with connecting cable frequency 23 KHz to 36 KHz of adequate size and weight (one each of both frequencies) OR Curved Hand piece with DTR technology-Qty. 1 No. And Tips (Interchangeable) - Qty. 2 Nos. b) Micro-pen hand piece, long angled with connecting cable frequency 23KHz to 36 KHz of adequate size and weight (one each of both frequencies) OR Short Straight Hand piece with DTR technology- Qty. 1 No. and Long Curved Tips (Interchangeable) - Qty. 2 Nos. c) Micro-pen hand piece of 36

KHz of adequate size and weight for bony lesion removal OR 10 Nos. Of Tips for bony lesion removal should be provided with the system.

Section-VII (Pg. No-61) Accessories: a) Macro hand piece, short angled with connecting cable frequency 23 KHz to 36 KHz of adequate size and weight (one each of both frequencies)

b) Micro-pen hand piece, long angled with connecting cable frequency 23 KHz to 36 KHz of adequate size and weight (one each of both frequencies)

c) Micro-pen hand piece of 36 KHz of adequate size and weight for bony lesion removal

d) All essential accessories and minimum 20 pcs of consumable accessories should be provided free of cost with the machine.

Amended Accessories: a) Macro hand piece, short angled with connecting cable frequency 23 KHz to 35 KHz of adequate size and weight (one each of both frequencies) OR Curved Hand piece with DTR technology- 2 Nos. And Tips (Interchangeable) - 2 Nos. b) Micro-pen hand piece, long angled with connecting cable frequency 23 KHz to 35 KHz of adequate size and weight (one each of both

frequencies) OR Short Straight Hand piece with DTR technology- 2 Nos. and Long Curved Tips (Interchangeable) - 2

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a) Macro hand piece or universal hand piece with appropriate Tips, short angled with connecting cable frequency 23-25 KHz & 34-35 KHz of adequate size and weight (one each of both frequencies) Both Hand pieces should be provided with straight round tips of length 11.7 cm & 12.2 cm reusable or (5 each of titanium tip) b) Micro-pen hand piece or universal hand piece with appropriate Tips, long angled with connecting cable frequency 23-25 KHz & 34-35 KHz of adequate size and weight (one each of both frequencies) Both hand pieces should be provided with straight round tips of length 20 cm & 12.2 cm reusable or (5 each of titanium tip) c) Micro-pen hand piece or universal hand piece with appropriate tips of 34-35 KHz of adequate size and weight for bony lesion removal reusable or 5 tips of Titanium.

Nos. c) Micro-pen hand piece of 34 KHz- 35 KHz of adequate size and weight for bony lesion removal OR 20 Nos. Of Tips for bony lesion removal should be provided with the system.

5. 3-D LAPAROSCOPE SYSTEM WITH ICG

1 1. 3G-SDI Out Put for transmitting the 4K-3D signal. 2. 3G-SDI and HD-SDI output for simultaneous signal transmission to standard 2D monitors 4. Integrated USB interface for saving captured still images in 2D Full HD or Video.

Section-VII (Pg. No-61) 3D camera control unit (CCU) : 1. 12G SDI/DP PORT output for transmitting the 4K-3D signal. 2. 12G-SDI output for simultaneous signal transmission to standard 2D monitors. 4. Integrated USB interface for saving captured video or still images in 2D Full HD

Amended 1. 4×3G or 12G SDI/DP PORT output for transmitting the 4K-3D signal. 2. 4×3G or 12G SDI output for simultaneous signal transmission to standard 2D monitors. 4. Integrated USB interface for saving captured video & still images in 2D Full HD & Video

2 USB port – For capturing direct 2D Full HD still or Video

Section-VII (Pg. No-62) Camera System: 1. USB Port – For Capturing direct 2D Full HD still & Videos.

Amended Inbuilt USB Port – For Capturing direct 2D Full HD still & Videos OR Separate FULL HD RECORDER of same Manufacturer for capturing Full HD still & Videos.

INBUILT USB port – For Capturing direct 2D Full HD still & videos OR Separate FULL HD RECORDER for capturing FULL HD STILL & VIDEO of same MANUFACTURER ONLY. In case quoting external recorder then it should be of the same manufacturer name only.

3 Video output – Max 4K signal at 3G- SDI PORT

Section-VII (Pg. No-62) Camera System: 3. Video output – Max 4K signal at 12G SDI/ DP PORT

Amended 3. Video output – Max 4K signal at 4×3G or 12G SDI/ DP PORT.

4 3. Readily Upscale able to 4K System 10. Various signal input: 3G SDI’s for 4K-3D signal, HD-SDI for 2D signal in HD.

Section-VII (Pg. No-62) 4K-3D Monitor: 3. Readily upgraded to 4K SYSTEM 10. Various signal inputs: 12G SDI’S for 4K-3D signal, HD-SDI for 2D signal in HD.

Amended 3. No Change 10. Various signal inputs: 4×3G SDI’S/ 12G SDI’S for 4K-3D signal, HD-SDI for 2D signal in HD.

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5 Video Output: VBS composite and Y/C; 2D digital signal output 3G-SDI (SMPTE424M),HD-SDI(SMPTE292M), DVI ( WUXGA,1080p or SXGA, 3D digital signal output 3G-SDI Level B (SMPTE424M), DVI-D(WUXGA) or 1080 p

Section –VII ( Pg. No.63) Technical Specifications: ICG Head Only 14. Video output: 2 x DP output, 1 x 12G-SDI output, 3 x camera input for communication with compatible camera modules, LAN connection, 4 x USB connection (2 x front, 2 x back).

No Change

6 Fully automatic, electronically controlled gas fill with all TOUCH PANEL CONTROLS.

HIGH FLOW INSUFFLATOR - 1 no. Section –VII ( Pg. No.63) 1. Fully automatic, electronically controlled gas fill.

No Change

7 Flow rate of Minimum 35-45 litres per minute.

Section –VII ( Pg. No.63) HIGH FLOW INSUFFLATOR - 1 no. 2. Flow rate of Minimum 30- 40 litres per minute.

Amended 2. Flow rate of 40-55 litres or more per minute.

8 1. Pumps for irrigation and suction with all TOUCH PANEL CONTROLS. PARAMETERS:- Pressure Flow: LAP 100/300/500 mm Hg. Flow: 0-1300ml/min, Suction Pressure regulated: LAP: 0.1-(-) 0.8 bar(-80kPa), Power supply: 100-240VAC,50/60HZ

Section – VII ( Pg. No.64) SUCTION-IRRIGATION UNIT 1. Pump for irrigation and suction 2. Maximum irrigation pressure 400 mm Hg 3. Suction pressure 0.75 bar 7. Irrigation suction flow rate should not be less than 2-5 L/min.

Amended 1. Pumps for irrigation and suction with all touch panel controls. 2. Pressure Flow: LAP: UPTO 500 mm Hg or ABOVE 3. Suction Pressure regulated: LAP: 0.1 to 0.8 bar. 7. Flow: 0-1300ml/min

9 All Items Must be of the same manufacturer

Section – VII (Pg. No.64) HAND INSTRUMENTS & OTHER ACCESSORIES

Amended All Hand Instruments & Other Accessories must be of the same manufacturer

10 1. Reusable Veress Pneumoperitoneum Needle-Spring Loaded blunt stylet luer lock length 13 m/15 m – 5 each.

Section – VII (Pg. No.64) HAND INSTRUMENTS & OTHER ACCESSORIES 1. Reusable Veress Pneumoperitoneum Needle- Spring loaded blunt stylet luer lock length 10/15 cm/18 cm - 5 each

Amended 1. Reusable Veress Pneumoperitoneum Needle Spring Loaded blunt stylet luer lock length 13 cm/15 cm – 5 each.

11

3. Reusable Trocar:-11 mm & 13.5 mm Multifunctional valve, insufflation stopcock and threaded sleeves, Pyramidal tip, length (10.5 cm) Flapper valve – 5 each

Section – VII (Pg. No.64) HAND INSTRUMENTS & OTHER ACCESSORIES 3. Reusable Trocar:- 10/11 mm & 12 mm-Multifunctional valve, insufflation stopcock and threaded sleeves, pyramidal tip, length (10.5 cm) Flapper valve - 5 each

Amended 3. Reusable Trocar :-11 mm & 13.5 mm Multifunctional valve, insufflation stopcock and threaded sleeves, Pyramidal tip, length (10.5 cm) Flapper valve – 5 each

12 Grasping forceps STRAIGHT toothed 2X4 teeth-Double action jaws, rotating with connector pin for unipolar coagulation, size 5mm, length 33-36 mm, dismantling facility, ONLY-5.

Section – VII (Pg. No.64) HAND INSTRUMENTS & OTHER ACCESSORIES 5. Grasping forceps curved - toothed 2x4 teeth- Double action jaws, rotating with connector pin for unipolar coagulation, size 5mm, length 33-36cm, dismantling facility, size 10mm -5 each ( 5 & 10 mm)

Amended 5. Grasping forceps STRAIGHT toothed 2X4 teeth-Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36 mm, dismantling facility- 5 Nos.

13 Grasping forceps straight- LONG toothed 2X3 teeth-Single action jaws, rotating with connector pin for unipolar coagulation, size 5

mm, length 33-36 cm, dismantling facility, ONLY-5 Nos.

Section – VII (Pg. No.64) HAND INSTRUMENTS & OTHER ACCESSORIES 6. Grasping forceps straight- toothed 2x3

teeth- Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36 cm, dismantling facility, size 10 mm -5 each(5 &10 mm)

Amended 6. Grasping forceps straight- LONG toothed 2X3 teeth-Single action

jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36 cm, dismantling facility -5 Nos.

14 Grasping forceps BOWEL CURVED- Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36 cm, dismantling

Section – VII (Pg. No.64) HAND INSTRUMENTS & OTHER ACCESSORIES 10. Grasping forceps Mixter - Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36

Amended 10. Grasping forceps BOWEL CURVED- Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm,

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facility size 5 mm only-5 Nos. cm, dismantling facility – 5 nos. length 33-36 cm, dismantling facility size 5 mm only-5 Nos.

15 Grasping forceps-Babcock-Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36cm, dismantling facility, size 5mm ONLY- 5 Nos.

Section – VII (Pg. No.64) HAND INSTRUMENTS & OTHER ACCESSORIES 12.Grasping forceps-Babcock-Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36 cm, dismantling facility, size 10 mm – 5 each (5 & 10 mm)

Amended 12. Grasping forceps-Babcock-Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36cm, dismantling facility, size 5 mm - 5 Nos.

16 Rotating spoon shaped Scissors-Double action Sharp jaws, rotating with connector pin for unipolar coagulation size 5 mm, length 33-36 cm, dismantling facility disposable only – 5 Packs (1 Pack-10 Pieces)

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 15. Rotating Metzenbaum Scissors-Double action jaws, rotating with connector pin for unipolar coagulation, size 5 mm, length 33-36 cm, dismantling facility – 5 nos.

Amended 15. Rotating spoon shaped Scissors- Double action Sharp jaws, rotating with connector pin for unipolar coagulation size 5 mm, length 33-36 cm,

dismantling facility disposable only – 50 Nos.

17 Rotational Bipolar coagulating with fine Atraumatic Serration- size 5 mm, length 33-36 cm fenestrated-5 nos.

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 16. Bipolar coagulating forceps-Size 5mm, length 33-36 cm fenestrated- 5 nos.

Amended 16. Rotational Bipolar coagulating with fine Atraumatic Serration- size 5 mm, length 33-36 cm fenestrated-5 nos.

18 ROTATIONAL Bipolar coagulating MARRYLAND DISECTING & GRASPING forceps-Size 5 mm, length 36 cm, 3 mm width of jaws - 5 nos.

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 17.Bipolar coagulating forceps- Size 5 mm, length 36 cm, 3 mm width of jaws - 5 nos.

Amended 17. ROTATIONAL Bipolar coagulating DISECTING & GRASPING forceps-Size 5 mm, length 36 cm, 3 mm width of jaws - 5 nos.

19 High Frequency MONOPOLAR Cord for 5 mm hand instruments – 5 nos.

Section – VII (Pg. No. 65) HAND INSTRUMENTS & OTHER ACCESSORIES 18. High Frequency Cord- For 5 mm & 10 mm hand instruments with Monopolar Electrodes, spatula tip, needle electrode- 5 each

Amended 18. High Frequency MONOPOLAR Cord for 5 mm hand instruments – 10 nos.

20 High Frequency BIPOLAR Cord – 5 each

Section – VII (Pg. No. 65) HAND INSTRUMENTS & OTHER ACCESSORIES 19. High Frequency Cord- For 5 mm & 10 mm hand instruments with Monopolar Electrodes, hook tip, knife electrode - 5 each

Amended 19. High Frequency BIPOLAR Cord-10 nos.

21 Knot pushers – Eye type, length 33-36 cm – 2 nos. each for intra and extra corpal knotting.

Section – VII (Pg. No. 65) HAND INSTRUMENTS & OTHER ACCESSORIES 20. Knot pushers-Eye type, length 33-36 cm - 5 nos. each for intra and extra corpal knotting

Amended 20. Knot pushers – Eye type, length 33-36 cm – 2 nos. each for intra and extra corpal knotting.

22 Reusable Trocar: - 7 mm – Multifunctional valve, insufflation stopcock and threaded sleeves, pyramidal tip, length (10.5 cm) Flapper valve –2 nos.

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 24. Hassan cone-Adaptable to 10mm trocar – 2 nos.

Amended 24. Reusable Trocar: - 7 mm – Multifunctional valve, insufflation stopcock and threaded sleeves, pyramidal tip, length (10.5 cm) Flapper valve –2 nos.

23 CAP REDUCER – 11/5 MM – 5 Nos.

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 25. Blunt Obturator- For 11 mm port-From 10/11 mm to 5mm & 5 to 3 mm – 5 nos.

Amended CAP REDUCER – 11/5 MM – 5 Nos.

24 REDUCTION SLEEVE – 11/5 MM – 5 Nos.

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 26. Reducer-Size 5mm, length 33-36 cm with pin for cautery - 5nos

Amended REDUCTION SLEEVE – 11/5 MM – 5 Nos.

25 NOT REQUIRED Section – VII (Pg. No.65) Amended

Page 10 of 29

HAND INSTRUMENTS & OTHER ACCESSORIES 31. Metzenbaum scissors-High performance with bipolar cautery – 5 nos.

31. This point is deleted

26 NOT REQUIRED

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 32. Large operating scissors-With double action jaws (slightly curved) Rotatable 10 mm diameter instruments with a working length of 33-36 cm, dismantling facility - 5 nos.

Amended 32. This point is deleted

27 Myoma screw – 5mm, 33-36 cms – 2 nos.

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 35. Myoma screw-5mm, 33-36 cms length, 10

mm - 2 nos.

Amended 35. Myoma screw – 5mm, 33-36 cms – 2 nos.

28 Uterine Manipulator - LAVH, mobilization of uterus, identification of vaginal fornices and sealing of vagina during hysterectomy. – 1 no.

Section – VII (Pg. No.65) HAND INSTRUMENTS & OTHER ACCESSORIES 36. Uterine Manipulator- LAVH, mobilization of uterus, identification of vaginal fornices and sealing of vagina during hysterectomy. - 5nos.

Amended 36. Uterine Manipulator - LAVH, mobilization of uterus, identification of vaginal fornices and sealing of vagina during hysterectomy. – 1 no.

29 2. Morcellator tube with OBLIQUE SLEEVES. 6. NOT REQUIRED 7. NOT REQUIRED 8. NOT REQUIRED 9. NOT REQUIRED

Section – VII (Pg. No.65) Electronic Morcellator-With Cutting Sleeve And Protective Sleeve Along With Spare Knife (Fully Autoclavable): 1 No. 2. Morcellator tube serrated edge 6. Laparoscopic Bag 7. Insulated handle with HF connection rotating with ratchet 8. High frequency monopolar cables- For above auxiliary instruments. 9.High frequency bipolar cables- For above auxiliary instruments

Amended Electronic Morcellator-With Cutting Sleeve And Protective Sleeve Along With Spare Knife (Fully Autoclavable): 1 No. 2. Morcellator tube with OBLIQUE SLEEVES. REUSABLE 15 MM & 12 MM SPARE KNIFE - 2 Nos. EACH along With CLEANING KITS & COMPRESSED SILICON SPRAY :- 1 SET 6 to 9- deleted (Electronic Morcellator-With Cutting Sleeve And Protective Sleeve Along With Spare Knife should be either from same manufacturer or from reputed manufacturer having USFDA/European

CE (notified body) certified).

30 VIDEO TROLLEY GOOD QUALITY INDIAN MAKE DESKTOP COMPUTER for EDITING, i5 processor, 6-8GB RAM, 2TB HDD, ORIGINAL WINDOWS OS, with TROLLEY & UPS. 5 KVA ONLINE UPS with ISOLATION TRANSFORMER & with minimum 30 MINUTES BACK UP.

Additional point suggested to specification

Amended Additional Requirement 1. Video Trolley Good Quality Indian Make 2. Desktop computer for editing, i7 processor, 8 GB RAM, 2 TB HDD, original windows OS 3. 5 KVA online UPS with minimum 30 minutes back Up 4. CO2 Cylinder (9 Kg)-2 Nos. 5. FORMALIN CHAMBER 26‖ - 2 Nos. 6. CIDEX TRAY - 2 Nos. 7. XENON 300 WATT LAMP ONLY - 3 Nos.

10. Video Cystoscope System

Page 11 of 29

1 Section – VII (Pg. No.73) Should be CE or USFDA approved.

Amended Should be CE and USFDA approved.

2 Should have built in HD – SDI & DVI input & output and 16:9 & 16:10 output for an HDTV Monitor.

Section – VII (Pg. No.74) (I) Video Processor and Light Source 1. Should have built in HD – SDI & DVI output & 16:9 &16:10 output for an HDTV Monitor.

Amended 1. Should have built in HD (3840x2160 pixels) – SDI & DVI output & 16:9 & 16:10 output for an HDTV Monitor (3840x2160 pixels).

Should be 3 chip HD CCD/CMOS camera system with SDI/DVI output

3 It should be latest, hi definition technology, Latest Model Compact (separate or Integrated) and economically designed, Compatible with NBI/BLI/OE/S Technologies scopes.

Section – VII (Pg. No.74) (I) Video Processor and Light Source 2. It should be latest, hi definition technology, Latest Model Compact (separate or Integrated) and economically designed, Compatible with NBI/BLI/OE scopes.

Amended 2. It should be latest, hi definition technology, Latest Model Compact (separate or Integrated) and economically designed, Compatible with NBI/BLI/OE/S Technologies scopes.

Delete NBI/BLI/OE- Company Specific

4 Light Source should be equipped with Long Life LED.

Section – VII (Pg. No.74) (I) Video Processor and Light Source 3. Light Source should be equipped with 300W Xenon Lamp or Long Life LED with emergency light for back up.

Amended Light Source should be equipped with 300W Xenon Lamp or Long Life LED (300W).

At least 300W LED light source, no need of emergency light for

back up

5 26 inch or more full HD LCD monitor of Medical grade having aspect ratio 16:9 & 16:10.

Section – VII (Pg. No.74) (II) High definition LCD Monitor 21 inch or more full HD LCD monitor of Medical grade having aspect ratio 16:9 & 16:10.

No Change

At least 26 inch HD LED monitor for 16:9 aspect ratio

6 Computer System along with laser printer & video processor camera unit must have inbuilt USB port for capturing direct 2D full HD still & Videos OR separate full HD recorder for capturing Full HD Still & Videos of same manufacturer only.

Section – VII (Pg. No.75) (III) Recording System Computer System along with laser printer & HD software -1 set (Software should be provided along with the system.)

Amended Computer System along with laser printer & video processor camera unit must have inbuilt USB port for capturing direct 2D full HD still & Videos OR separate full HD recorder for capturing Full HD Still & Videos with minimum 500 GB storage capacity of same manufacturer only.

Min 500GB storage medical grade USFDA & CE approved recording device.

12.RIGID ENDOSCOPE WITH FESS INSTRUMENTS WITH LIGHT SOURCE AND FIBER OPTIC CABLE

1 a. Product should be USFDA and European CE.

Section – VII (Pg. No.77) a. Product should be USFDA, CE, UL or BIS approved.

Amended Product should be USFDA and European CE.

2 Request to split all items in 3 part as separate item, Part-I -: Fess Instruments, Telescopes & instruments Part-II -: Microdebrider Part-III-: Endovision system consist of (full high definition HD three chip camera system with high resolution HD medical grade monitor, LED light source, Fiber optic cable, Video trolley)

Section-VII (Pg. No-77) g. The core FESS equipments like Telescopes, Endovision Three chip HD camera, light source, Microdebrider Unit, hand instruments, fiber optic cable, Video monitor & should be from single manufacturer for system compatibility.

Amended The core FESS equipments like Telescopes, Endovision Three chip HD camera, light source, hand instruments, fiber optic cable, Video monitor should be from single manufacturer for system compatibility. Microdebrider Unit should be either from same manufacturer or from reputed manufacturer having USFDA or European CE approval.

All items including the camera, light source, microdebrider and instruments from the same manufacturer.

3 The appropriate specifications are: 1. Should be able to connect to

Section-VII(Pg. No-78)) 27. MICRODEBRIDER, consisting of main control unit with speed up to not less than

No Change

Page 12 of 29

multiple hand pieces at a time like Debrider hand pieces(Up to 5000 RPM in Oscillating mode & 12000 RPM), Stapedectomy Drill (up to 12000 RPM) 2. Console should recognize the various hand pieces and automatically adjust the setting accordingly 3. Must have inbuilt pumps each for irrigation ( 5 Cc / Min to 100 Cc / Min) and cooling 4. Must have multifunction ergonomically designed foot control for easy identification 5. Should be able to control Speed/Mode, Forward/Reverse toggle, Active hand piece change from the Foot control itself 6. Must have inbuilt scope lens cleaning or irrigation clip system for intra operative cleaning. 7. Should have the option to work with foot pedal or console. 8. Must have option to connect Oscillating, Reciprocating and Sagittal Saws 9. The various parameters should be able to adjust either from touch screen panel or from

the multifunction foot switch. Microdebrider Hand Piece: 1 No. 1. Micro-debridder should be capable of Up to 5000 RPM in Oscillating mode & 12000 RPM in Forward mode 2. Should have direct-drive motor with straight through suction 3. Should have Versatile Technology, Ergonomic engineering for balance and performance 4. Must be compatible with Various angled blades and burs.

40000 rpm, in-built irrigation pump, forward & reverse cutting, Shaver hand piece with micro motor (speed not less than 40000 rpm), with integrated suction channel, mains cord, two-pedal footswitch, silicon tubing for irrigation. Hand piece, Suction shaver blades (straight cutting edge, rectangular/oblique cutting window, concave cutting edge, serrated cutting edge – 2 nos. each), clip set and tubing set.

MICRODEBRIDER, consisting of main control unit with speed up to not less than 12000 rpm for Shaver Blades & 35000 rpm for SINUS Burrs, in-built irrigation pump, forward & reverse cutting, Shaver hand piece with micro motor with integrated suction channel, mains cord, two-pedal footswitch, silicon tubing for irrigation. Hand piece, Suction shaver blades (straight cutting edge, rectangular/oblique cutting window, concave cutting edge, serrated cutting edge – 2 nos. each), clip set and tubing set.

4 Camera control unit with 3 chip HD camera head having HD CCD/CMOS chip of same aspect ratio of 16:9

Section-VII(Pg. No-78)) Full High Definition Three Chip Camera System: 28. Camera control unit with 3 chip HD camera head having HD CCD chip of same aspect ratio of 16:9

Amended Camera control unit with 3 chip HD camera head having HD CCD/CMOS chip of same aspect ratio of 16:9.

Page 13 of 29

5 Should have integrated optical zoom lens 14-30mm, to increase and decrease the size of image which should remain in focusing zone, without readjusting the focus (with 10% +/-).

Section-VII(Pg. No-79)) Full High Definition Three Chip Camera System: 35. Should have integrated optical zoom lens 14-30 mm, to increase and decrease the size of image which should remain in focusing zone, without readjusting the focus.

Amended Should have integrated optical zoom lens 14-30mm, to increase and decrease the size of image which should remain in focusing zone, without readjusting the focus (with 10% +/-).

6 High Definition Medical grade Surgical Monitor (LED), resolution 1920 X 1200 with DVI, RGB input option for wall mounting and desktop in same unit. Should have same aspect ratio of 16:9 or 16:10 of the endoscopic HD camera system.

Section-VII(Pg. No-79)) High Resolution HD Video medical grade Monitor: 41. 24‖ or 26’’High Definition Medical grade Monitor, resolution 1920 X 1200 with DVI, RGB, input, option for wall mounting and desktop in same unit. Should have same aspect ratio of 16:9 or 16:10 of the endoscopic HD camera system.

No Change

7 LED light source of at least 300 Watts or more.

Section-VII(Pg. No-79)) Xenon Light Source: 46. Xenon light source of 175 Watts or more.

Amended Xenon light source of 300 Watts or more and additionally 2 Nos. of 300W Xenon lamp shall be provided.

8 Potential equalization connection to be provided at least 8 points. Local Indian make of good quality.

Section-VII(Pg. No-79) Video Trolley: 57. Potential equalization connection to be provided at least 8 points. Preferably from OEM.

Amended Potential equalization connection to be provided at least 8 points. Local Indian make of good quality.

13. Anaesthesia Workstation System With High End OR Monitor

1 The system should be USFDA or European CE approved by notified body.

Section-VII (Pg. No-80) Product Quality Standard: 1. The system should be USFDA & Notified CE approved.

No Change

2 Electronic/Mechanical hypoxic guard to ensure 25% oxygenation across all O2-N2O gas mixes

Section-VII (Pg. No-80) Gas Management: 8. Electronic hypoxic guard to ensure 25% oxygenation across all O2 -N2O gas mixes.

No Change

3 Accurate electronic flow meter with both digital display of numerics and virtual display of the flow meter on the workstation screen with electronic mixing

Section-VII(Pg. No-80) Gas Management: 10. Accurate electronic flow meter with both digital display of numerics and virtual display of the flow meter on the workstation screen with electronic/mechanical mixing

Amended Accurate electronic flow meter with both digital display of numerics and virtual display of the flow meter on the workstation screen with electronic mixing.

4 It should be a inbuilt Anesthesia Gas Monitoring module so that company will quote their best model available.

Section-VII(Pg. No-80) Gas Management: 15. Should have an additional receptacle for accepting/integrating Anaesthesia Gas monitoring module

Amended Should have an additional receptacle for accepting Anaesthesia Gas monitoring module or inbuilt Anaesthesia Gas monitoring module.

5 Should have a decision support tool for fresh gas flow for minimal flow anaesthesia minimizing the chance of

hypoxia

Section-VII (Pg. No-80) Gas Management: 16. Should have a decision support tool for fresh gas flow for low flow or minimal flow

anaesthesia minimizing the chance of hypoxia

Amended Should have inbuilt safety software which will tell the

accurate amount to ensure minimal flow. Request to amend minimizing

gas volume deficiency during low flow

6 Should have an ability to check usage of Anaesthesia agent at the time to finishing of each case.

Section-VII(Pg. No-81) Gas Management: 17. Should have an ability to check total usage of gas & agent anytime during the case

Amended Should have an ability to check usage of Anaesthesia agent at the time to finishing of each case.

Page 14 of 29

7 Request to add it must be USFDA approved from same OEM

Section-VII(Pg. No-81) Vaporizers: 19. Vaporizer shall require no tools to mount.

Amended Vaporizer shall require no tools to mount and it must be USFDA approved.

8 Vaporizer shall mount to a Selectatec or equivalent manifold

Section-VII(Pg. No-81) Vaporizers: 20. Vaporizer shall mount to a Selectatec manifold which allows easy exchange between agents.

Amended Vaporizer shall mount to a Selectatec or equivalent manifold which allows easy exchange between agents.

9 Supplier must offer total vaporizer manufacturing capability Sevoflurane, Halothane and Isoflurane

Section-VII(Pg. No-81) Vaporizers: 21. Supplier must offer total vaporizer manufacturing capability- Desflurane, Enflurane, Sevoflurane, Halothane and Iso flurane

Amended Supplier must offer total vaporizer manufacturing capability- Desflurane, Sevoflurane, Halothane and Isoflurane.

Supplier must offer total vaporizer manufacturing capability- Enflurane, Sevoflurane, Halothane and Iso flurane.

10 Back bar to accept two selectatec or equivalent vaporizers

Section-VII(Pg. No-81) Vaporizers: 22. Back bar to accept two selectatec vaporizers

Amended Back bar to accept two selectatec or equivalent vaporizers.

11 Should be supplied with Isoflurane and Sevoflurane vaporizer of one each and should be pour/Quick fill type.

Section-VII(Pg. No-81) Vaporizers: 23. Should be supplied with Isoflurane and Sevoflurane vaporizer of one each and should be pour fill type.

Amended Should be supplied with Isoflurane and Sevoflurane vaporizer of one each and should be pour/Quick fill type.

12 Request to add integrated heater to prevent condensation

Section-VII(Pg. No-81) Breathing System:

26. Breathing system shall have integrated volume sensing of a type that does not require daily maintenance.

Amended Breathing system shall

have integrated volume sensing that does not require daily maintenance or shall have integrated heater to prevent condensation.

13 Request to amend it should be Gas Driven/Turbine Driven/Piston Driven

Section-VII(Pg. No-81) Breathing System: 29. Should be gas driven/Turbine driven

No Change

14 Request to amend OR equivalent technology to be added

Section-VII(Pg. No-81) Breathing System: 30. Ventilator bellows shall be integrally mounted to the breathing system.

Amended Ventilator bellows shall be integrally mounted to the breathing system or any equivalent technology shall be available.

15 Should have the facility to check leakages in whole system.

Section-VII(Pg. No-81) Breathing System: 35. Should have the facility to check leakages

in whole system & individually also -like breathing system, Vaporizer1, vaporizer2, Patient circuit.

No Change

16 OR Piston Driven may be added Section-VII(Pg. No-81) Breathing System: 37. Should be Electronically controlled and Pneumatically driven through advanced Flow control valve or should be electronically controlled and turbine driven

No Change

17 Kindly remove this point from technical specification.

Section-VII(Pg. No-81) Ventilation: 38. Option of using Medical Air or Oxygen as driving gas

Amended Option of using Medical Air or Oxygen as driving gas or electrical driven. Option of using Medical Air or

Oxygen as driving gas or electrical driven

18 Request to delete Apnea Backup Section-VII(Pg. No-81) Ventilation: 39. Modes of Ventilation: VCV, PCV, Volume Guarantee/Auto flow/PRVC, Pressure support with Apnea Backup, SIMV (Volume & Pressure)

No Change

Page 15 of 29

19 Rate : 3 to 80 bpm Section-VII(Pg. No-81) Ventilation: 41. Rate : 4 to 100 bpm

No Change

20 Peep : 1 to 20 cms H2O Section-VII(Pg. No-81) Ventilation: 42. Peep : Off, 4 to 30 cms H2O

No Change

21 LCD/TFT screen, minimum 12 inches with touch screen & trim knob for setting

Section-VII(Pg. No-82) Display: 50. LCD/TFT screen, minimum 15 inches with touch screen & trim knob for setting

No Change

22 51. Waveforms: Pressure vs Time, Flow vs Time & CO2 as standard

Section-VII(Pg. No-82) Display: 51. Waveforms: Pressure vs Time, Flow vs Time & CO2 when AGM is connected

Amended Waveforms: Pressure vs Time, Flow vs Time & CO2 as standard

23 Display all set and Monitored parameters like Volumes, Rate, Timing and Pressure.

Section-VII(Pg. No-82) Display: 53. Display all set and Monitored parameters like Volumes, Rate, Timing, Pressure, Pressure of Inlet Gases

No Change

24 Should display O2, CO2, detected Agent, Inspired and Expired O2, N2O,CO2, Agent Concentration values & MAC with Anaesthesia Gas Module is connected.

Section-VII(Pg. No-82) Display: 55. Should display O2, CO2 , detected Agent waveforms, Inspired and Expired O2, N2O, CO2, Agent Concentration values & MAC with Anaesthesia Gas Module is connected

Amended Should display O2 , CO2 , detected Agent, Inspired and Expired O2 , N2O , CO2 , Agent Concentration values & MAC with Anaesthesia Gas Module is connected.

Should display O2, CO2, Inspired and Expired O2, N2O,CO2, Agent Concentration values & MAC with Anaesthesia Gas Module is connected.

25 Kindly remove this point from technical specification.

Section-VII(Pg. No-82) Display: 56. Cylinder & Pipeline pressure should be digitally available on screen along with the electronic flow display

No Change

26 Shall work on electric mains fitted with Indian plug/

European plug.

Section-VII(Pg. No-82) Power:

61. Shall work on electric mains fitted with Indian plug.

No Change

27 The system should be USFDA / Notified CE approved.

Section-VII(Pg. No-82) High End OR Monitor: 73. The system should be USFDA & Notified CE approved.

No Change

28 17― Color TFT touch screen display mounted on the Anesthesia Workstation

Section-VII(Pg. No-82) High End OR Monitor: 74. 15― Color TFT touch screen display mounted on the Anaesthesia Workstation

Amended 15― or more Color TFT touch screen display mounted on the Anaesthesia Workstation.

29 Minimum 10 wave forms and modular in design.

Section-VII(Pg. No-82) High End OR Monitor: 76. Minimum 6 wave forms and modular in design.

Amended 6 to 10 wave forms and modular in design.

30 Should have option to connect an anaesthesia gas module for measurement of inspired & expired gases and agents with automatic detection of agents and age specific MAC value

Section-VII(Pg. No-83) High End OR Monitor: 86. Should have an anaesthesia gas module for measurement of inspired & expired gases and agents with automatic detection of agents and age specific MAC value

Amended Should have option to connect an anaesthesia gas module (separate or inbuilt) for measurement of inspired & expired gases and agents with automatic detection of agents and age specific MAC value.

Request to add inbuilt in anaesthesia workstation

Kindly remove this point from technical specification.

31 Kindly remove this point from technical specification.

Section-VII(Pg. No-83) High End OR Monitor: 92. Measure display- QT/QTc

No Change

Page 16 of 29

32 To be deleted

Section-VII(Pg. No-83) Accessories & Consumables Required: 101. AGM Water Trap -50 each 102. AGM Sample Line -100 each

Amended Accessories & Consumables Required: 101. Deleted 102. Deleted

14. FULLY DIGITAL ANESTHESIA WORKSTATION SYSTEM WITH END TIDAL CONTROL AND HIGH END OR MONITOR

1 The system should be USFDA / Notified CE approved.

Section-VII(Pg. No-84) Product Quality Standard: 1. The system should be USFDA & Notified CE approved.

No Change

2 Request to add EN60601-1 Section-VII(Pg. No-84) Product Quality Standard: 2. Manufacturer should be ISO 13485 certified.

No Change

3 Electronic hypoxic guard to ensure 25% oxygenation across all O2-N2O gas mixes

Section-VII(Pg. No-84) Gas Management: 8. Mechanical hypoxic guard to ensure 25% oxygenation across all O2 -N2O gas mixes

Amended Electronic hypoxic guard to ensure 25% oxygenation across all O2-N2O gas mixes

4 Should have at-least two

drawers for storage and 1 lockable writing tray

Section-VII(Pg. No-84)

Gas Management: 14. Should have three drawers for storage

Amended

Should have three drawers for storage or at-least two drawers for storage and 1 lockable writing tray

5 Must have inbuilt Anesthesia Gas monitoring module

Section-VII(Pg. No-84) Gas Management: 15. Should have an additional receptacle for accepting/integrating Anaesthesia Gas monitoring module

Amended Should have an additional receptacle for accepting Anaesthesia Gas monitoring module or inbuilt Anaesthesia Gas monitoring module.

6 Should have a decision support tool for fresh gas flow for minimal flow anaesthesia minimizing the chance of hypoxia

Section-VII(Pg. No-84) Gas Management: 16. Should have a decision support tool for fresh gas flow for low flow/minimal flow anaesthesia minimizing the chance of hypoxia

Amended Should have inbuilt safety software which will tell the accurate amount to ensure minimal flow.

Request to delete the chance of hypoxia & include minimizing gas volume deficiency during low flow

7 The machine should have automatic calculations and presetting of patient specific ventilation settings via ideal body weight, age and height.

Section-VII(Pg. No-84) End tidal Control/target controlled anaesthesia:

No Change

8 This has to be deleted as anaesthetist involvement is required all the time to administer safe anaesthesia OR Kindly remove this point from technical specification.

Section-VII(Pg. No-84) End tidal Control/target controlled anaesthesia: 17. End Tidal Control / Target control – automated Low flow option for volatile anaesthesia should be incorporated so that Target controlled Anaesthesia can be used, wherein the ETO2 and ETAA and Min FGF flow are set, and the machine takes care of closed loop equilibrium for volatile agent and works like cruise control. Estimated MAC display to help set the target ETAA is preferred.

No Change

Request to delete and include—It should be able to predict the future trend of inspiratory and expiratory anaesthetic agent concentration and O2 for the next 20 minutes as minimal flow support to guide appropriate vaporizer settings

9 Key filler type vaporizer for easy replacement from other OT’s I case of an emergency. Point no 25 has been asked for pour fill type

Section-VII(Pg. No-84) Digital Vaporizers: 18. Electronically controlled agent delivery. Fast and instant agent delivery with no warming time. Vaporizer must be isolated from the gas flow in the off position.

Amended Electronically controlled agent delivery, fast and instant agent delivery. Vaporizer must be isolated from the gas flow in the off position.

Request to delete this point as it is company specific

Page 17 of 29

Mechanically/Pneumatically controlled agent delivery. Fast and instant agent delivery with no warming time. Vaporizer must be isolated from the gas flow in the off position.

10 Agent specific, maintenance free, light weight Vaporizers.

Section-VII(Pg. No-84) Digital Vaporizers: 19. Agent specific, maintenance free, light weight cassettes.

Amended Agent specific, maintenance free, light weight Vaporizers.

Request to delete--- Cassette

11 Request to delete it. As it is of a specific company

Section-VII(Pg. No-84) Digital Vaporizers: 20. No warm up time for Desflurane.

Amended Digital Vaporizers: 20. Deleted

12 Kindly remove this point from technical specification.

Section-VII(Pg. No-84) Digital Vaporizers: 23. ―Low agent level‖ Alarm for all Anesthetic agent.

No Change

13 Should be supplied with Isoflurane and Sevoflurane vaporizer of one each and should be pour/Quick fill type.

Section-VII(Pg. No-84) Digital Vaporizers: 25. Should be supplied with Isoflurane and Sevoflurane vaporizer of one each and should be pour fill type.

Amended Should be supplied with Isoflurane and Sevoflurane vaporizer of one each and should be pour/Quick fill type.

14 Request to add integrated breathing system warmer for breathing gas conditioning and avoidance of condensation.

Section-VII(Pg. No-84) Digital Vaporizers: 28. Breathing system shall have integrated volume sensing of a type that does not require daily maintenance.

Amended Breathing system shall have integrated volume sensing that does not require daily maintenance or shall have integrated heater to prevent condensation.

15 In case of bellow ventilator Section-VII(Pg. No-84) Digital Vaporizers: 32. Ventilator bellows shall be integrally mounted to the breathing system.

Amended Ventilator bellows shall be integrally mounted to the breathing system or any

equivalent technology shall be available.

16 Should have the facility to check leakages in whole system.

Section-VII(Pg. No-85) Breathing System: 37. Should have the facility to check leakages in whole system & individually also -like breathing system, Vaporizer1, vaporizer2, Patient circuit.

No Change

Should have the facility to check leakages in whole system & individually also -like breathing system including vaporizer, Patient circuit

17 Kindly remove this point from technical specification.

Section-VII(Pg. No-85) Ventilation: 40. Option of using Medical Air or Oxygen as driving gas

Amended Option of using Medical Air or Oxygen as driving gas or electrical driven.

In case of electrical driven it is not required

18 PEEP: 1 to 35 cms H2O Section-VII(Pg. No-85) Ventilation: 44. PEEP: Off, 4 to 30 cms H2O

No Change

19 Display all set and Monitored parameters like Volumes, Rate, Timing & Pressure.

Section-VII(Pg. No-85) Display: 55. Display all set and Monitored parameters like Volumes, Rate, Timing, Pressure, Pressure of Inlet Gases

No Change

20 Should display O2, CO2, detected Agent, Inspired and Expired O2, N2O, CO2, Agent Concentration values & MAC with Anaesthesia Gas Module is connected.

Section-VII(Pg. No-86) Display: 57. Should display O2, CO2 , detected Agent waveforms, Inspired and Expired O2, N2O, CO2, Agent Concentration values & MAC with Anaesthesia Gas Module is connected

Amended Should display O2, CO2, detected Agent, Inspired and Expired O2, N2O, CO2, Agent Concentration values & MAC with Anaesthesia Gas Module is connected. Should display O2, CO2,

Inspired and Expired O2, N2O,CO2, Agent Concentration values & MAC with Anaesthesia Gas Module is connected.

Page 18 of 29

21 Kindly remove this point from technical specification.

Section-VII(Pg. No-86) Display: 58. Cylinder & Pipeline pressure should be digitally available on screen along with the electronic flow display

No Change

22 Request to add- inbuilt AGM Section-VII(Pg. No-86) Anaesthesia Gas monitoring module: 59. Should monitor inspired and Expired O2, N2O, CO2, Agent Concentration values & MAC

Amended Should monitor inspired and Expired O2, N2O, CO2, Agent Concentration values & MAC (either inbuilt or modular)

23 Should have sample gas return into the breathing system.

Section-VII(Pg. No-86) Anaesthesia Gas monitoring module: 60. Should automatically identify agents

No Change

24 Shall work on electric mains fitted with Indian plug/ European plug.

Section-VII(Pg. No-86) Power: 63. Shall work on electric mains fitted with Indian plug.

No Change

25 OEM to avoid local product Section-VII(Pg. No-86) Accessories/Consumables Required: 65. Reusable adult silicone circuit: 2 each 66. Disposable adult circuit: 50 sets 67. Reusable paediatric silicon circuit: 2 each 68. Masks reusable of size 1,2,3,4: 1 each

No Change

26 Inbuilt OEM Section-VII(Pg. No-86) Accessories/Consumables Required: 74. AGM module: 1 each

Amended AGM module: 1 each (either inbuilt or module from same manufacturer only)

27 Specification of High End OR Monitor may be added

Additional point suggested to specification

Amended The Specification of High End OR Monitor as mentioned under item “Anaesthesia Workstation System With High End OR Monitor” incorporating the amendments as mentioned above shall be considered.

15.MANNEQUIN WITH SIMULATION CPR AND ACLS TRAINING

1 Provide – Defibrillator Training cab be done with Real Life Defibrillator and Resuscitation with ECG Simulation

Section-VII (Pg. No-86) 2. Provide – Defibrillator Training and Resuscitation.

Amended Provide – Defibrillator Training cab be done with Real Life Defibrillator and Resuscitation with ECG Simulation.

2 There should be mechanical & Software feedback system as per 2015 AHA Guideline

Section-VII (Pg. No-86) 5. There should be feedback devices.

Amended 5. There should be mechanical & Software feedback system as per 2015 AHA Guideline.

3 Enhanced measurement and feedback capabilities. Laptop should be provided with the system.

Section-VII (Pg. No-87) 9. Enhanced measurement and feedback capabilities.SS

Amended 9. Enhanced measurement and feedback capabilities. Laptop should be provided with the system.

4 Should be USFDA or European CE or ISO certified issued by notified agency.

Section-VII (Pg. No-87) 11. Should be USFDA or European CE certified issued by notified agency.

Amended 11. Should be USFDA or European CE or ISO certified issued by notified agency.

16. BIS (Bispectral Index Monitoring System)

1 Section-VII (Pg. No-87) Accessories Minimum 50 pcs. of BIS adult sensors

(Disposable).

Amended Accessories Minimum 50 pcs. of

BIS adult sensors (Disposable)

Minimum 10 pcs. of BIS paediatric sensors (Disposable)

Page 19 of 29

17. Noninvasive Cardiac Output Monitor

1 Or give continues Cardiac Output by connecting 4 skin sensors and using Electrical Cardiometry / Velocimetry.

Section-VII (Pg. No-88) 2. It should be able to give continuous Cardiac Output using continuous noninvasive arterial pressure waveform,

using ―volume clamp and physical methods‖, obtained by placing a disposable cuff on an index finger, ring finger, or middle finger.

Amended 2. It should be able to give continuous Cardiac Output using continuous

noninvasive arterial pressure waveform, using ―volume clamp and physical methods‖, obtained by placing a disposable cuff on an index finger, ring finger, or middle finger OR It should be able to give continous cardiac output by connecting 4 skin sensors and using Electrical Cardiometry / Velocimetry.

2 This point is company specific and should be deleted

Section-VII (Pg. No-88) 3. The cuff should not be placed on thumb or previously fractured fingers.

Amended This point is deleted.

3 It should work with other equipment in the critical care

Section-VII (Pg. No-88) 4. The Disposable Sensor should be able to give Continuous arterial pressure waveform when connected, on other bedside patient monitors.

Amended The Disposable Sensor should work with other equipment in the critical care.

4 Please add : Additional hemodynamic parameters preferred like Contractility (should be able to noninvasively monitor brachial artery

pressure) – this point should be deleted

Section-VII (Pg. No-88) 5. The disposable finger cuff should be able to noninvasively monitor brachial artery pressure and other key hemodynamic parameters such as Cardiac Output (CO),

Stroke Volume (SV), Stroke Volume Index (SVI), Cardiac Index (CI), Stroke Volume Variation (SVV), Mean Arterial Pressure (MAP), Diastolic Pressure (DIA), and Systolic Pressure (SYS).

Amended The disposable finger cuff should be able to noninvasively monitor key hemodynamic parameters

such as Cardiac Output (CO), Stroke Volume (SV), Stroke Volume Index (SVI), Stroke Volume Variation (SVV).

5 This point is company specific and should be deleted

Section-VII (Pg. No-88)) 6. Real-time brachial Blood Pressure waveform should be displayed on the trend screen.

Amended This point is deleted.

6 This point is company specific and should be deleted

Section-VII (Pg. No-88) 7. The double cuff pressure controller should be able to alternate b/w finger cuff allowing for monitoring in longer surgical cases.

Amended This point is deleted.

7 This point is company specific and should be deleted

Section-VII (Pg. No-88) 8. IFM out serial port and HL7 connectivity for both minimally invasive and noninvasive technologies.

Amended This point is deleted.

8 It should be able to give Cardiac output update every 20 Seconds or less

Section-VII (Pg. No-88) 10. It should be able to give Cardiac output update every 20 Seconds.

Amended It should be able to give Cardiac output update every 20 Seconds or less

9 It should be portable for emergency usage and pole

mountable points to be deleted.

Section-VII (Pg. No-88) 12. It should be pole mountable, must have

display capacity of at least 4 trend lines and 4 numerical display, optional physiology and physio-relationship screen, graphical trend, tabular trend, big numbers, cockpit screen.

Amended 12. It should be either pole

mountable or portable and must have display capacity of at least 4 trend lines and 4 numerical display, optional physiology and physio-relationship screen, graphical trend, tabular trend, big numbers, cockpit screen.

10 It should have a touch screen with active area of 10.4 inch or more.

Section-VII (Pg. No-88) 17. It should have a touch screen with active area of 10.4 inch

Amended 17. It should have a touch screen with active area of 10.4 inch or more.

Page 20 of 29

11 This point is company specific and should be deleted

Section-VII (Point No- 18 (Pg. No-88)) The noninvasive should system be able to switch from noninvasive (pump unit) to minimally invasive (data box) technology, if required.

Amended This feature is not mandatory.

19. SURGICAL STAPLERS

1 1. a. Linear cutter disposable handle – 55/60 mm- 20 Nos. d. Knife Module is available either with the stapler or with the cartridge (separate knife module is not required)

Section-VII(Pg.No-89) 1. a. Linear cutter reusable handle – 55/60 mm- 20 Nos. b. Cartridge (blue) - 55/60mm- 150 nos. (should be compatible with item no .1(a)) c. Cartridge (Green) - 55/60mm- 50 nos. (should be compatible with item no .1(a)) d. Knife Module – 55mm – 70 Nos.

Amended 1. a. Linear cutter reusable handle – 55/60 mm- 40 Nos. b. Cartridge (blue) - 55/60 mm- 300 nos. (should be compatible with item no .1(a)) c. Cartridge (Green) - 55/60 mm- 80 nos. (should be compatible with item no .1(a)) d. Knife Module – 55/60 mm – 140 Nos. (separate knife module is not required if it is inbuilt with each Cartridge)

1. a. Linear cutter reusable handle – 55/60 mm- 20 Nos. b. Cartridge (blue) - 55/60mm- 150 nos. (should be compatible with item no .1(a)) c. Cartridge (Green) - 55/60mm- 50 nos. (should be compatible with item no .1(a))

d. Knife Module – 55mm – 70 Nos.

1. a. Linear cutter disposable handle – 55/60 mm- 20 Nos. b. Cartridge (blue) - 55/60mm- 150 nos. (should be compatible with item no .1(a)) c. Cartridge (Green) - 55/60mm- 50 nos. (should be compatible with item no .1(a))

2 2. a. Linear cutter disposable handle – 75/80mm- 20 Nos. d. Knife Module is available either with the stapler or with the cartridge (separate knife module is not required)

Section-VII (Pg. No-90) 2. a. Linear cutter reusable handle – 75/80mm- 20 Nos. b. Cartridge (blue) - 75/80mm- 150 nos. (Should be compatible with item no .2(a)) c. Cartridge (Green) - 75/80mm- 30 nos. (Should be compatible with item no .2(a)) d. Knife Module – 75mm – 70 Nos.

Amended This point is deleted.

2. a. Linear cutter disposable handle – 75/80mm- 20 Nos. b. Cartridge (blue) - 75/80mm- 150 nos. (Should be compatible with item no .2(a)) c. Cartridge (Green) - 75/80mm- 30 nos. (Should be compatible with item

no .2(a))

3 Section-VII (Pg. No-90) 3. a. Linear cutter handle accommodating three rows of cartridges – 55/60mm- 5 Nos. b. Cartridge for item no-3(a) - 55/60mm- 50 Nos.

Amended 3. a. Linear cutter handle accommodating three rows of cartridges– 55/60mm- 10 Nos. b. Cartridge for item no-3(a) - 55/60mm- 100 Nos.

4 Linear cutter handle accommodating two rows of cartridges – 75/80mm

Section-VII (Pg. No-90) 4. a. Linear cutter handle accommodating three rows of cartridges – 75/80mm- 5 Nos.

Amended This point is deleted.

5 5. a. Linear Stapler 30/45/60 mm – 10 Nos. b. Cartridge for Linear stapler – 30/45/60 mm – 60 Nos.

Section-VII (Pg. No-90) 5. a. Linear Stapler 45/60mm – 10 Nos. b. Cartridge for Linear stapler – 45/60 mm – 60 Nos.

No Change

6 6. a. Curved/Articulating linear cutter cum stapler – 40/45/60

mm – 3 Nos. b. Cartridge Curved/Articulating linear cutter cum stapler – 40/45/60 mm- 20 Nos.

Section-VII (Pg. No-90) 6. a. Curved linear cutter cum stapler – 40/45

mm – 3 Nos. b. Cartridge Curved linear cutter cum stapler – 40/45 mm- 20 Nos.

Amended 6. a. Curved/Articulating

linear cutter cum stapler – 40/45/60 mm – 3 Nos. b. Cartridge Curved / Articulating linear cutter cum stapler – 40/45/60 mm- 20 Nos.

Page 21 of 29

7 9. Circular stapler Curve- 31/32/33 mm- 100 Nos.

Section-VII (Pg. No-90) 9. Circular stapler Curve- 31/33mm- 100 Nos.

Amended 9. Circular stapler Curve- 31/32/33 mm- 100 Nos.

8 Can be omitted as in the suggested specification, knife module is available either with the stapler or with the cartridge (Separate Knife module is not required)

Section-VII (Pg. No-90) N.B. 2. During price comparison, one knife module for every 5 cartridges will be taken in to account, in case knife module is not in built.

Amended This point is deleted.

20. Carbon Dioxide LASER

1 Should be removed from list as in this procedure CO2 Laser is not in use. No such supportive is their for the same procedure to be treated by CO2 laser. In same procedure ND-YAG laser is preferably used.

Section-VII (Pg. No-90) Possible Interventions in ENT with CO2 Laser 2. Tracheobronchial Endoscopy: a. Tumors

b. Papillomas

c. Stenoses

No Change

2 Made by reputed manufacturer and should meet international safety standards as US FDA and European CE and ISO 13485

Section-VII (Pg. No-91) Possible Interventions in ENT with CO2 Laser 7. The Carbon Dioxide Laser should meet the following NORMS, certificate to be enclosed. a. EC medical products guideline 93/42/EEC b. CE 0297 c. DIN EN 60601-1 d. DIN EN ISO 9001 e. DIN EN ISO 13485

No Change

3 Should be equipped with one touch tab/switch to choose either wave guide or articulated arm modality without changing any part.

Section-VII (Pg. No-91) Technical Specification of CO2 laser 9. Quick Tip panel for straightforward and user-friendly operation.

Amended Should be equipped with one touch tab / switch to choose either wave guide or articulated arm modality without changing any part.

4 should be microprocessor control with self calibration and touch screen operating panel

Section-VII (Pg. No-91) Technical Specification of CO2 laser 10. 8 different operating modes available for fast selection

Amended Should be microprocessor control with self calibration and touch screen /LCD operating panel.

5 Min 100 + custom Memory Setting capacity

Section-VII (Pg. No-91) Technical Specification of CO2 laser 11. 5 freely assignable memory keys for storing customized performance parameter under any name

Amended 11. Deleted

6 Should have sealed Co2 laser tube and is equipped with Continuous Power (CW), Single pulse and char free super pulse.

Section-VII (Pg. No-91) Technical Specification of CO2 laser 12. The implemented software offers users two different parameter selection option. a) Pulse/pause setting b) Pulse/frequency setting

Amended Should have sealed Co2 laser tube and is equipped with Continuous Power (CW), Single pulse and super pulse.

7 Should have Continuous Power (CW) Power of 40 Watt

Section-VII (Pg. No-91) Technical Specification of CO2 laser 14. The SUPERPULSE mode provides for a several times (max. ten-fold) higher output power characterized by extremely short pulse times of 0.3 ms with adjustable average power.

Amended Should have Continuous Power (CW) Power of 40 Watt or more.

8 Should have Super Pulse power of at least 15 watt. Should have repeat exposure as minimum as 0.01 sec to 1.0 sec which offer wide range of comfortability to the user and precision in surgery

Section-VII (Pg. No-91) Operating modes 17. Continuous wave (cw): Effective output power: 2-25 W; CW 18. Single pulse: Laser power: 10-25 watts, Pulse length: 5 ms -10 sec 19. Pulse train: Average laser power: 0.1- 25 watts, Duration: 5 ms-10 s, Repetition frequency: 0.1-60 Hz 20. Super pulse: Laser power: 0.3-11 W

Amended Operating modes 17. Should have Super Pulse power of 15 watt or more. Should have repeat exposure as minimum as 10 ms to 10 sec which offer wide range of comfortability to the user and precision in surgery. 18 to 21- Deleted

17. Continuous wave (cw): Effective output power: 0.5- 40 W 18. Single pulse: Laser power: 40 watts, Pulse length: 5 ms -1 second

Page 22 of 29

19. Pulse train: Average laser power: 40 watts, Duration: 1 ms-1 sec 20. Super pulse: Laser power: 40 W average power; peak power: max. 10-fold increase Pulse length: 0.3 ms to 5 ms 21. Cycle mode: Cyclically repetitive pulses, Cycle length: permanent 1 ms-1 sec

average power; peak power: max. 10-fold increase Pulse length: 0.3 ms 21. Cycle mode: Cyclically repetitive pulses, Cycle length: permanent 10 ms-10s

9 Should have 5 mw Red Diode Aiming Beam, 635 nm, Adjustable Intensity.

Section-VII (Pg. No-92) Description 23. Pilot laser: diode laser, 635 nm, infinitely adjustable, Power: max. 2 mW (standard version) max. 5 mW (ENT version)

Amended Pilot laser: Diode laser , 635 nm, adjustable intensity Power: 5 mw (maximum)

Aim Beam, Diode Laser, 635 nm

10 Should be capable of delivering laser beam suited for precise cutting/ ablation of tissues without excessive lateral tissue thermal damage through both hollow guide wire and 7 joint spring balanced arm 144 cm reach , 360 degree rotation

Section-VII (Pg. No-92) Description 24. Beam delivery: Articulated mirror arm, carbon-fiber tube, spring- supported with 7 joints/mirrors, arm length 1300 mm, hand piece exchangeable, 2 different spring-return forces selectable Micromanipulator for precise application, Minimal Spot size of 0, 11 mm

Amended Should be capable of delivering laser beam suited for precise cutting/ ablation of tissues without excessive lateral tissue thermal damage through both hollow guide wire and 7 joint spring balanced arm.

7 joint Articulated Arm

11 Hand piece with 50 to 200mm focal length

Section-VII (Pg. No-92) Description 25. Focus diameters: Focal length Hand piece focus 50 mm 0.08 mm 127 mm 0.20 mm 200 mm 0.32 mm

Amended Hand piece with 50 to 200 mm focal length Micro- manipulator compatible

with standard operating microscopes (Adaptors should be provided if applicable). Should have adjustable working distance at least between 225 -400 mm. Should be capable of delivering spot size suitable for use in laryngeal surgery (including Phono surgery) - minimum of at least 0.160mm. Should have suitable Hand piece set for oral pharyngeal and nasal applications. Co2 laser protective googles for surgical team (At least 05 Nos). Should be supplied with 125 mm focal length hand piece for creating 0.2 mm spot size for better power densities.

12 It should have a self – contained closed loop cooling system

Section-VII (Pg. No-92) Description 26. Cooling Internal

Amended Internal Cooling or should have a self – contained closed loop cooling system.

13 Not Required Section-VII (Pg. No-92) Description 27. Protection Class : I

Amended 27. Deleted

14 Not Required Section-VII (Pg. No-92) Description

28. Classification MDD:II b

Amended 28. Deleted

15 Not Required Section-VII (Pg. No-92) Description 29. Laser Class : IV

Amended 29. Deleted

16 To be deleted as it become company specific

Section-VII (Pg. No-92) Description 30. Dimensions (H x W x D): 2000x 290x 450 mm, Height with folded-down articulated arm: 1180 mm

Amended 30. Deleted

Height with folded-down articulated arm: 1180 mm Not Required

17 Should be compatible with 230V, 3A, 50Hz power supply.

Section-VII (Pg. No-92) Description

Amended 31. Deleted

Page 23 of 29

Power input consumption: max. 1100 W Not Required

31.Power input/Consumption:max.1100 W 32.Power requirements:230V AC/4A/50-60 Hz

32.Power requirements :230 V AC / 50-60 Hz

18 Separate port for fibre and articulated arm with one touch automatic change over to fibre port or arm port

Section-VII (Pg. No-92) 34. Fibre accessories: a) Reusable CO2 fibre- 01 nos.

Amended Should be supplied with Reusable CO2 fibre 01 No. or Limited use CO2 fibre of 10 nos. [Cost of CO2 fibre (Reusable/Limited use) shall have to be quoted as price break-up under Format-B of financial bid]

CO2 fibre- 01 no.

19 Rigid hand piece kit at least 8 rigid hand pieces with hand piece cleaning kit 40 mm,70 mm, 100 mm, 300 mm hand piece, which can be bend to different angles

Section-VII (Pg. No-92) 34. Fibre accessories: b) Rigid hand piece kit at least 8 rigid hand pieces with hand piece cleaning kit 60 mm, straight, straight tip, 180 mm, straight, straight tip, 60 mm, straight, curved tip, 140 mm, straight, curved tip 180 mm, straight, curved tip, 240 mm, bent, curved tip, 140 mm, bent, straight tip, 240 mm, bent, straight tip

No Change

20 Endoscope protection sheath (Indian make)

Section-VII (Pg. No-92) 34. Fibre accessories: c) Endoscope protection sheath – 2 nos.

No Change

21 Fibre Length : ID:-500 mm- 640 mm & OD: 1.0-1.7 mm, Length 2 meters minimum

Section-VII (Pg. No-92) 34. Fibre accessories: d) Fibre Length: 640 mm & OD: 1.7 mm

Amended Fibre Length : ID:-500 mm - 640 mm & OD: 1.0 - 1.7 mm, Length 2 meters minimum

Length 2 meters

22 Not required

Section-VII (Pg. No-92) 34. Fibre accessories: e) Hand piece bending tool

No Change

23 Hand piece cleaning kit: includes 3 cleaning brushes and 20 extra silicone tubes for hand pieces-Indian make

Section-VII (Pg. No-92) 34. Fibre accessories: f) Hand piece cleaning kit: includes 3 cleaning brushes and 20 extra silicone tubes for hand pieces

No Change

Hand piece cleaning kit

24 Should have smoke evacuation system. Online UPS of 3 KVA to be provided

Additional point suggested to specification

Amended Online UPS of suitable capacity for at least 30 minutes back up should be supplied with the system.

22.VIDEO LARYNGOSCOPE

1 Required is Macintosh blades with closed European Metal finish / SS 316 size 2, 3 and 4 with integrated camera chip and LED light illumination details should be provided. At least 2 units each of MAC2, MAC3, MAC4, BLADE should be provided

Section-VII (Pg. No-94) Technical Specification: Laryngoscope required with video illumination to visualize and document the operational area on screen. It should consist of following features: 5. Required is Macintosh blades with closed European Metal finish size 2, 3 and 4 with integrated camera chip and LED light illumination for obtaining more than 50,000 Lux of brightness.

No Change

2 This specs is not required, should be deleted. As it depends upon the end user whether they requires stylet or not.

Section-VII (Pg. No-94) Technical Specification: 6. Mac blade should not require any stylet for tube placement.

No Change

3 For wide participation, the amendment should be made: One special blade for difficult intubation with device for introduction of suction catheter for size 16-18 Fr., angle of view should be approx. 60 degree and above. At least 2 units Blades for Difficult Airway Blade

Section-VII (Pg. No-94) Technical Specification: 7. One special blade for difficult intubation with device for introduction of suction catheter for size 16-18 Fr., angle of view should be approx 80 degree.

No Change

Page 24 of 29

MAC 5 should be provided.

4 As per point 5 & 7 amendment we request to make it at least 2 units each.

Section-VII (Pg. No-94) Technical Specification: 8. One miller size 0 & 1 blade should present in the set.

No Change

5 For wide participation, the amendment should be made: Video laryngoscope should have the option to connect to a big size screen with HDMI or HD output. And the minimum screen size should be minimum 3 inches or dedicated monitor based type.

Section-VII (Pg. No-94) Technical Specification: 9. Screen 7 inch or more in size for display with feature control buttons on the screen with HDMI or HD output for connecting to a big screen. Two output ports with monitor to connect scope and video laryngoscope at one time and toggle button to use the same once at a time.

No Change

6 This feature is a locked specification. When procedure being taken for intubation why need for flexible scope in this. Hence this point should be deleted. To allow maximum bidders participation

Section-VII (Pg. No-94) Technical Specification: 12. Monitor should have a facility to connect flexible scope directly without any special coupler or accessory.

No Change

7 Amendment required for wider participation: If the machine is a dedicated monitor based machine then soft bag should be supplied to place the monitor and system can also be operated without taking monitor out from the bag. This would not be a mandatory feature

Section-VII (Pg. No-94) Technical Specification: 14. Soft bag should be supplied to place the monitor and system can also be operated without taking monitor out from the bag.

No Change

8 Amendment to be made: This point should be deleted as Magill forceps are usually available in all OT. So no point asking for the same. It clearly states that it’s a single company specification

Section-VII (Pg. No-94) Technical Specification: 15. Magill forceps for foreign body removal and for assisting nasal intubation should be provided.

No Change

9 The specification is completely one single company specific. Amendment required for wider participation: For Video Laryngoscope monitor should be inbuilt with the handle / IV Stand for positioning the monitor with tray for laryngoscopes should be provided with the screen based Video Laryngoscope.

Section-VII (Pg. No-94) Technical Specification: 16. IV Stand for positioning the monitor with tray for laryngoscopes should be provided

No Change

10 Amendment required for wider participation: Any accessories if required like protection cap/tray for cleaning / sterilization of blades (at least two blades at a time) should be provided but not

a mandatory feature.

Section-VII (Pg. No-94) Technical Specification: 17. Accessories like protection cap, tray for cleaning and sterilization of blades (at least two blades at a time) should be provided.

No Change

11 Amendment required for wider participation: Blades/if connection cable available should be fully immersible in disinfecting solution.

Section-VII (Pg. No-95) Technical Specification: 18. Blades and connection cable should be fully immersible in disinfecting solution.

No Change

12 Amendment required for wider participation : This point has been mentioned in point no.16 and the same has been repeated again to detail the monitor stand specification which should be deleted.

Section-VII (Pg. No-95) Technical Specification: 20. Stand for monitor, height 120 cm, rollable with five legs and antistatic castors, crossbar 25 cm x diameter 25 mm for positioning the monitor, with tray, dimensions (w x d x h): 30 x 20 x 10 cm use with: 8401YAA Crossbar 8401YB Crossbar.

No Change

Page 25 of 29

23. Portable LED Headlight System

1 Color temperature 4500 K--- 6500 K

Section-VII (Pg. No-95) 3. Color temperature 4500 K

Amended Color temperature 4500 K to 6500 K

2 Headlight Module with 80 mm—100 mm or above Spot

Section-VII (Pg. No-95) 6. Headlight Module with 80mm Fixed Spot

Amended Headlight Module with 80 mm—100 mm or above Spot

3 Variable Intensity Control – 1,50,000 Lux to 2,00,000 Lux

Section-VII (Pg. No-95) 7. Variable Intensity Control – 0 to 34,000 Lux

Amended Variable Intensity Control – 1,00,000 Lux or above

4 2 Nos. Clip-on Power Pack With Rechargeable Battery

Section-VII (Pg. No-95) 14. 1 Clip-on Power Pack With Rechargeable Battery

Amended 4 Nos. Clip-on Power Pack With Rechargeable Battery

5 The model should be USFDA or European CE certified

Additional point suggested to specification

Amended The model should be USFDA or European CE certified.

24. ETO STERILIZER

1 The sterilization chamber should be single walled / double walled, corrosion and gas resistant of suitable alloy. The chamber shall be insulated against heat emission – specify the mechanism of heat insulation

Section-VII (Pg. No-96) 2. The sterilization chamber should be double walled, corrosion and gas resistant of suitable alloy. The chamber shall be insulated against heat emission – specify the mechanism of heat insulation.

Amended The sterilization chamber should be single walled / double walled, corrosion and gas resistant of suitable alloy. The chamber shall be insulated against heat emission – specify the mechanism of heat insulation.

2 Temperature range should be changed to 33 to 55 degree

Section-VII (Pg. No-96)) 7. The ETO sterilizer should be able to operate for the minimum essential following cycles programs: a. Sterilization cycle for heat sensitive objects that ensure temperature from 40-55 ̊C with

subsequent aeration for protection of the operating personnel.

No Change

Fully Comply

3 Capacity of the Equipment Should be changed to 7.9 Cubic Feet / or Equivalent to 220-240 Litres.

Section-VII (Pg. No-96) 8. Capacity: Should have one-time loading of 24-33 cu. ft. With capacity to process 36-48 fu. ft. /24 hr. Firm should clearly state cycle time (Time from start to finish including aeration time) so that capacity to process total load in 24 hr can be calculated.

No Change

We recommend to keep between 210-240 litres loading capacity.

4 EO cartridge supplied should be EPA certified/ compatible cartridge as per the system

Section-VII (Pg. No-96) 9. Gas cartridges should be EPA certified.

No Change

5 The ETO sterilizer should have compliance to OSHA / NIOSH

exposure monitoring / occupational health & safety management system ISO 45001 certification.

Section-VII (Pg. No-97) 12. The ETO sterilizer should have compliance

to OSHA/NIOSH exposure monitoring.

No Change

6 Should be USFDA / CE Certified / BIS Certified.

Section-VII (Pg. No-97) 13. Should be USFDA/ European CE certified. Certificate to be provided.

No Change

7 Sterilization basket / Tray of suitable size: 2-3 Nos.

Section-VII (Pg. No-97) Accessories 17. Each ETO sterilizer shall be equipped with the following accessories: a. Sterilization basket / Tray of suitable size: 3 Nos.

No Change

Page 26 of 29

8 Sterilizer should have automatic gas puncturing system and work under NEGATIVE PRESSURE ensuring operator safety.

Additional point suggested to specification

No Change

9 Sterilizer should have high resolution 4 colour touch screen which can display live color cycle chart with pressure, temperature & Relative humidity profile

Additional point suggested to specification

No Change

26. Intra operative Ultrasound

1

The system should have more than 3, 50, 000 digital system processing channels.

Section-VII (Pg. No-99) (V) Scanning Parameters 19. The system should have more than 2, 50, 000 digital system processing channels.

No Change

2 The system shall include at least 500 GB hard drive for large local storage capacity.

Section-VII (Pg. No-100) (X) Image Archive and Networking 29. The system shall include at least 100 GB hard drive for large local storage capacity.

No Change

28. Routine Surgical Instrument

1 Product should be European CE or USFDA certified

Section-VII (Pg. No-102) COMMON PRODUCT QUALITY STANDARD: a. Product should be BIS or CE or USFDA certified/registered. The CE certificate issuing agency should be from European Union country if CE certificate is not issued by notified body for the instruments. USFDA registration must be supported by valid certificates.

Amended Product should be USFDA or European CE certified.

2 Material should be Stainless Steel (Instruments) or Tungsten Carbide (TC) as mentioned. Material also should be coated with chromium oxide layer. According to ASTM (Chromium Resistant Layer)—A 967

Section-VII (Pg. No-102) COMMON PRODUCT QUALITY STANDARD: d. Material should be Stainless Steel (Instruments) or Tungsten Carbide (TC) as mentioned.

No Change

3 m. The MANUFACTURER of the offered products must prove, that it is certified according DIN EN ISO 9001, DIN EN ISO 13485 & EWG 93/42,AnnexII. The MANUFACTURER has to specify in an attached paper, his quality criteria & reference criteria which it takes as a basis

for the instrument production. n. According to the DIN EN ISO 17664 the manufacturer must specify where & in which from the relevant information for REPROCESSING of STRILIZABLE MEDICAL PRODUCTS are made available for the customer.

Additional Certifications suggested to specification

No Change

4 Abdominal Retraction using flexible arm:- 4 SETS a. Universal Single Flex Arm Plus System for Retraction and holding instruments. b. Capable of being flexible and tightened in any direction held by table clamp and holder. c. Universal quick connect Hex fitting. d. Small 5.0mm Nathanson Retractor & Medium 5.0 mm Nathanson Retractor e. Stainless steel instrument

Section-VII (Pg. No-103) 3. Malleable copper retractor for abdominal surgery- one set of three retractors- 4 sets a. One set - Sizes- 2.5 inches, 3 inches, 4 inches Autoclavable

No Change

Page 27 of 29

clamp attachment with hex fitting. f. Delrin Instrument clamp attachment with Hex fitting. g. Quick-Grip scope Holding Attachment, Hex fitting, 10 mm & 5 mm. h. Should be capable of attaching and fixing into Quick connect Flex arm.

5 Deep pelvic retractor with FRAMES & BLADES for GYNAECOLOGY / UROLOGY/COLO RECTAL – 8 Nos. a. Flexible arm with quick connect fitting and post and rail clamp:-1 no. b. Retractor frame with Hex Post approx 8‖ X 8.5‖:- 1 no. c. 12 mm Blunt Hook:- 1 Box. d. 5 mm Sharp Hook:- 1 Box.

e. 5 mm Blunt Hook:- 1 Box. f. Blade, Kelly, 1X1 ½‖:- 1 no. g. Blade, Kelly, 1½‖ X 2‖:- 1 no. h. Blade, Malleable, 1‖ X 4‖:- 2 no. i. Blade, Deaver, ½‖ X 2‖:- 2 no. j. Blade, Rectal, 7/8 x 2 7/8‖ (2.2 cm x 7.3 cm):- 2 nos. k. Blade, Rectal, 7/8‖ x 3 7/8‖(2.2 cm x 9.8 cm):- 1 no l. Blade, Renal Wiley, 1‖ x 7‖ (2.5 cm x 17.8cm):- 2nos m. Blade, Vaginal, Lateral, 1‖x 3‖(2.5 x 7.6 cm):- 2 nos n. Blade, Vaginal, Posterior,1 x 4 ½‖ (2.5x11.5 cm):- 2 nos o.Tilt Ratchet:- 4 nos p. Stays Sterile 4 box:- 4 nos.(5nos./box)

Section-VII (Pg. No-103) 6. Deep pelvic retractor- 8 Nos.

Amended Deep pelvic retractor with FRAMES & BLADES for GYNAECOLOGY / UROLOGY/COLO RECTAL – 8 Nos. a. Flexible arm with quick connect fitting and post and rail clamp:-1 no. b. Retractor frame with Hex Post approx 8‖ X 8.5‖:- 1 no. c. 12 mm Blunt Hook:- 1

Box. d. 5 mm Sharp Hook:- 1 Box. e. 5 mm Blunt Hook:- 1 Box. f. Blade, Kelly, 1X1 ½‖:- 1 no. g. Blade, Kelly, 1½‖ X 2‖:- 1 no. h. Blade, Malleable, 1‖ X 4‖:- 1 no. i. Blade, Deaver, ½‖ X 2‖:- 1 no. j. Blade, Rectal, 7/8 x 2 7/8‖ (2.2 cm x 7.3 cm):- 1 nos. k. Blade, Rectal, 7/8‖ x 3 7/8‖(2.2 cm x 9.8 cm):- 1 no. l. Blade, Renal Wiley, 1‖ x 7‖ (2.5 cm x 17.8cm):- 1nos. m. Blade, Vaginal, Lateral, 1‖x 3‖ (2.5 x 7.6 cm):- 1 nos. n. Blade, Vaginal, Posterior,1 x 4 ½‖ (2.5x11.5 cm):- 1 nos. o. Tilt Ratchet:- 1 nos. p. Stays Sterile 4 box:- 1 nos. (5nos. /box)

6 HEAD & NECK (Thyroid retractor) – 2 sets a. Mini- Adjustable Split Ring 7‖(17.8cm) Closed Diameter- 1no b. Mini – Tilt Ratchet – 6 nos

c. Mini-, Blade, Kelly, 3/8 x 1 ¼‖ (1.0x3.2cm)- 2 nos d. Mini-, Blade, Balfour Style 1 ½ x 1 ½‖ (3.8cmx3.8cm)-2nos. e.Mini-, Blade, Deaver, 1/2 x2‖ (1.3x5.1cm) – 1 no f. Mini-, Blade, Malleable ½ x2 ½‖(1.3x6.4cm)- 1 no g. Mini-, Blade, Malleable ½ x 2 ¼‖(1.3x5.7cm)- 1 no h. Univ. Single Flexible arm with

Section-VII (Pg. No-103) 9. Joll thyroid retractor- 2 sets a. Self retaining retractor with lock-in for thyroid/neck surgeries

b. Nut- 152 mm long

No Change

Page 28 of 29

Quick-Connect Hex Fitting for attaching the ring – 1no.

7 instrument sterilizers to be mentioned separately as Accessories and Good quality Indian make trolley Trolley to be added as scope of supply under accessories.

Section-VII (Pg. No-106) 57. Small electric, instrument sterilizers- 20 Nos. Specifications: a. 304 seamless Stainless steel 304, b. Size-( 300x150x125) mm, c. Tray lifting system with the help of handle. d. Thermostatically controlled e. Water outlet tap, f. Hook for extraction of hot tray after sterilization, g. 220-240volts, single phase.

Amended Accessories 1. Small electric, instrument sterilizers- 20 Nos.(confirming to BIS standard)

2. Good quality Indian make trolley-1 No.

8 To be added that Manufacturer should be ISO 13485 certified.

Section-VII (Pg. No-106) 70. Finger probe- 40 nos. a. Portable, battery operated, finger probe to measure oxygen saturation and pulse rate

Amended 70. Finger probe- 40 nos. a. Portable, battery operated, finger probe to measure oxygen saturation and pulse rate (Manufacturer should be ISO 13485 certified).

9 To be added that it should be compatible to all types of Light sources.

Section-VII (Pg. No-106) 72. Self illuminating deep retractors-02 nos.

Amended 72. Self illuminating deep retractors (02 nos.) should be compatible to all types of Light sources.

Queries and necessary recommendations relating to Techno-Commercial terms

Sl. No. Queries raised by the

prospective bidders Original Specifications

Clarifications /Amendments in response to the queries

1 Please amend the delivery schedule for imported items, 90 days from the date of order as shipment takes time during import.

Section-V (Point No.5.1.1 (Pg. No-16)) Delivery period -70 days from date of issuance of Purchase Order

Amended Delivery period -90 days from date of issuance of Purchase Order

Please extend the normal delivery period from 70 days to 90 days for all the imported items.

2 Request to reduce the average annual turnover for Category-I from Rs. 5 Crore to Rs. 3 Crore.

Section-V (Point No.5.2.2 (ii) (Pg. No-18)) 5.2.2 Authorized Distributors are eligible to participate in the bid provided: (ii) They should have Proof of Average annual turnover of Rs.5 Crore or more for Category-I and Rs. 2 Crores or more for Category-II in last 3 financial years i.e. 2015-16, 2016-17 and 2017-18 as per Format T8. In addition to this, the distributor shall also submit the average annual turnover of the manufacturer/importer of the item(s) as mentioned in 5.2.1 (vii) above.

No Change

Request to put the item ULTRASONIC DEVICE CUM BIPOLAR VESSEL SEALING SYSTEM on Category-II and reduce the average annual turnover for Category-II from Rs. 2 Crore to Rs. 1 Crore or 1.5 Crore.(As total value will be below 1 Cr.)

3

Payment should be 100% vide inland Letter of Credit with 80% payable on delivery & balance 20% within 30 days of installation.

Section-VI (Point No.6.30 (Pg. No-42)) Payment 6.30.2 90% of the cost of the equipment (excluding CMC Cost) + 100% installation cost if any + 100% tax shall be paid to the supplier on receipt of the stock entry certificate, installation and demonstration /training of the item from the consignee. 6.30.3 The balance 10% of the payment of equipment will be made after receipt of certificate on working status of the equipment

from the consignee after 8 weeks of installation and commissioning of the equipment.

No Change

Page 29 of 29

4 Penalty for Liquidated Damages should be capped @ 5%.

Section-VI (Point No.6.43.5 (Pg. No-53)) Liquidated Damages:- If the successful bidder fails to deliver any or all of the goods within the time frame(s) prescribed in the contract, the Tender Inviting Authority/User Institution shall, without prejudice to other rights and remedies available to the Tender Inviting Authority/User Institution under the contract, deduct from the contract price / purchase order price as liquidated damages, a sum equivalent to 1% of the value of the item to be supplied per week of delay or part thereof on delayed supply of item (s) until actual delivery or performance subject to a maximum of 4%. Managing Director, OSMCL reserves the right to allow an additional penal period of 4 (four) weeks beyond the normal penal period (4 weeks) on the written request of the supplier with the condition that liquidated damage @ 1.5% will be charged for each week or part thereof during the extended penal period.

No Change

N.B:-

1. The amendments mentioned above are to be treated as amendments in the

general term(s) and condition(s) and scope of work of the above tender

reference. All other terms conditions remain unchanged.

2. Since any text in the price BOQ can’t be changed in the e-tender portal, the

amendments mentioned above are to be treated as amendments pertaining to

price bid/ BOQ (if applicable).

3. The necessary amendments for the items Video Endoscopes with ERCP, Video

Colonoscope, Video Sigmoidscope, Video Bronchoscope, Endoscopic

Ultrasound System and High Frequency Mobile C-Arm Image Intensifier

System shall be finalized & floated on a later date.

4. For other items such as KTP Laser , Attendant Bed , Electrical Drill and Saw,

Micro vascular Surgical Set, Modular Scrub Station, Pneumatic Compression

Pump, Digital Video Colposcope with HD signal output & Green Light Laser, no

queries/amendment requests has been received, hence the tender specification

remains unaltered.

Sd/-

Managing Director OSMC